Initial situation
- Severe crowding requiring significant arch correction
The decision
The case is shown here as a before/after outcome. The treatment plan followed standard staged assessment to widen the jaws, reposition the lower jaw, and restore correct canine closure.
The result
The jaws were widened to remove the crowding, the lower jaw was returned to a corrected position, and proper canine closure was restored. The patient's smile line and facial shape changed as part of the outcome.
Widening both arches and correcting the lower jaw position together can resolve severe crowding while also improving canine relationship and facial appearance.
About skeletal expansion & MARPE
Severe crowding that involves both arches, along with a lower jaw position that needs correction, calls for a plan that treats width, sagittal position, and canine relationship as connected findings. Addressing arch width alongside jaw position allows clinicians to correct the canine closure and support the kind of facial and smile line change described in this case. General staged transverse and sagittal assessment underlies this kind of integrated planning.
Questions clinicians ask
What was the primary problem in this case?
The patient presented with severe crowding requiring correction of arch width and jaw position.
Was jaw position addressed as well as tooth alignment?
Yes, the lower jaw was returned to a corrected position as part of the treatment plan.
Did the patient's facial appearance change?
Yes, the patient's smile line and facial shape changed as part of the treatment outcome.
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Original case shared by Dr. Mark Radzhabov on Instagram @orthodont_mark · Published for professional education.
